Provider Relations Specialist

Deadline to apply is Monday September 16, 2024

About the role The Provider Relations Specialist is responsible for management of and relations with Medicare, Medicaid and all other payers with whom Cochlear Americas bills direct for recipient purchases which may include but not limited to; establishing and maintaining good working relationships with payers, ensuring Cochlear is in compliance with payer requirements, management of billing software updates and distribution of associated updates to required stakeholders.Key Responsibilities

• Maintain current enrollment/contract status and compliance with all current payers, e.g., licensing, re-enrollments, accreditation, and web portal registrations.
• Work with business partners as necessary to resolve issues that arise with payers, including billing jurisdiction, coding disputes etc.
• Research provider manuals and billing requirements to ensure guidelines are met and documented accordingly.
• Regularly communicate with cross functional teams regarding current enrollment/contracting status and/or issues
• Develop and maintain updates and ongoing maintenance to reimbursement software/billing guides.
• Ensure that all documentation by state is updated and distributed in a timely manner to both clinics and Cochlear field team members.
• Follow relevant quality procedures to deliver quality products and services and identify and support the implementation of continuous improvement. Undertake additional quality responsibilities (e.g., audit) when appropriately trained to undertake these responsibilities.
• Contribute ideas on systems and process methods to improve deliverables.
• Work safely, complying with all safety procedures, rules, and instructions; and reporting workplace hazards, incidents, or injuries to manager.

Key Requirements To add value to Cochlear in this role you'll be able to meet and demonstrate the following knowledge, skills and abilities in your application and at interview:

• Bachelor's Degree or Equivalent Work Experience
• 3+ Years of Experience
• Strong computer skills with experience in various software packages, including Microsoft Suite and web based applications
• Ability to work and adapt in a fast-paced environment and balance / manage multiple, changing priorities while maintaining a high level of attention to detail
• Excellent written and verbal communication skills, strong presentation skills, and an ability to adjust communication and messaging to fit the audience
• Demonstrated strong follow through on commitments and taking responsibility for actions and decisions.
• Approaches projects collaboratively, seeking varied inputs.
• Ability to identify solutions and challenge the status quo to deliver creative solutions.

Total RewardsIn addition to the opportunity to develop your knowledge and grow professionally, we offer competitive wages and benefits.

• Target Salary Range/Rate: $73,000 – $80,000 based upon experience, as well as an annual bonus opportunity of 7.5% of base salary
• Benefit package includes medical, dental, vision, life and disability insurance as well as 401(K) matching with immediate vesting, Paid Time Off, tuition reimbursement, maternity and paternity leave, Employee Stock Purchase Plan and pet insurance.

Who are we?Human needs have always been our inspiration, ever since Professor Graeme Clark set out to create the first multi-channel cochlear implant because he saw his father struggle with hearing loss. We always start with people in mind – thinking about their needs.For this reason, our products, services and support will continue to evolve and improve. We are by our customers’ side through the entire hearing journey, so they can experience a life full of hearing. Our employees tell us that the number one reason they enjoy working for Cochlear is the opportunity to make a difference to people’s lives and working in an organization where they can be part of bringing the mission to life each day.Physical & Mental DemandsThe physical and mental demands described below are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the individual is regularly required to be in a stationary seated and standing position; utilize business technology for work product delivery, communicate orally and in writing with others internal or external to the organization, utilize problem solving/critical thinking skills to discern and convey information. May be asked to occasionally transport/move up to 30 pounds, depending on the position. Specific vision abilities required by this job include ability to adjust focus. The individual is regularly required to utilize comprehension, critical thinking, communication, problem solving, organization reasoning, relating to others and discernment of items such as product specifications, procedures and processes to customers (whether internal or external). Influence, organization/classification of information and planning are also required.
The work environment is a hybrid home/office environment and represents those an individual encounters while performing the essential functions of this job. Apply now by completing your application form online. Applicants must meet the job specific application criteria to be considered. Visit our careers site at www.cochlear.us/careers to learn more. Cochlear Americas is an Equal Opportunity, Affirmative Action Employer and provides equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, marital status, veteran status, or any other characteristic protected by federal, state or local law. In addition, Cochlear will provide reasonable accommodations for qualified individuals with disabilities. If you require accommodation with completing the online application, please contact us via web or phone at 303-264-2549.